2021-11-11T16:31:35-06:00 2020-12-31 134008324 Pricewaterhousecoopers LLP 655 New York Ave NW Ste 1100 Washington DC 20001 990 2020-01-01 570831165 ROPER ST FRANCIS HEALTHCARE ROPE 8437242958 8536 Palmetto Commerce Pkwy 201 Ladson SC 29456 Adriana Day CFO 2021-11-11 true Adriana Day 999009999 Travis L Patton P00369623 2124141000 2020 2022-09-23 18:48:47Z Adriana Day CFO 8536 Palmetto Commerce Pkwy 201 Ladson SC 29456 128363246 false X www.rsfh.com X 1998 SC Management and oversight of related hospital and healthcare subsidiaries. 11 3 6855 126 47816 0 1308021 8227329 114798186 112376325 7465832 5457233 1942862 2107603 125514901 128168490 552743 6400451 0 71293280 69046600 0 0 80472006 85182047 152318029 160629098 -26803128 -32460608 977346885 1586496550 568644995 768004944 408701890 818491606 Healing all people with compassion, faith, and excellence. false false 112004727 6400451 112376325 Roper St. Francis Healthcare provides care for more Lowcountry adults than any other healthcare provider. Our mission is simple: Healing all people with compassion, faith and excellence. Throughout our entire 160 year history, people have trusted Roper St. Francis Healthcare. Anchored by Roper Hospital, Bon Secours St. Francis Hospital, Roper St. Francis Mount Pleasant Hospital, and Roper St. Francis Berkeley Hospital, our 668-bed health system includes more than 117 facilities and doctors' offices conveniently located throughout our region. We are Charleston's only private, not-for-profit hospital system with a specific focus on community outreach. The Roper St. Francis Foundation raises funds to enrich the wellness of our community. We have more than 1,000 doctors on our team and are Charleston's second largest private employer with more than 5,900 employees. Our team puts patients first, a quality that has led us to receive top national awards in patient satisfaction year after year. 112004727 true true false true false false false false false true false true true true true false true false false false false false false false false false true true true false false false false false false false false false false false false true true true true false false true 1193 0 true 6855 true true true false false false false false false false false false true false X 11 3 false true true false true true true true true false false true true true true true true true true true true SC X The Finance Department 8437242958 8536 Palmetto Commerce Parkway Ladson SC 29456 Brian Cuddy MD Chair, Neurosurgeon - RSFPP 0.5 49.5 X X 0 1025169 70138 Susan Datta MD Vice-Chairperson, Internist - RSFPP 0.5 49.5 X X 0 349309 69476 Brian White Board Member (End 03/20); Atlantic Group President - BSMH 0.5 53.5 X 0 1968502 37978 Brian YANofchick Board Member (Beg 01/20); Chief Sponsorship Officer Atlantic Grp. - BSMH 0.5 53.5 X 0 575471 22269 Edward McKelvey Board Member 0.5 3.5 X 0 0 0 Henry West MD Board Member, Surgeon - RSFPP 0.5 49.5 X 0 555493 54829 JAMES THOMAS Board Member (Beg 01/20 - End 03/20) 0.5 3.5 X 0 0 0 John B Holloway Jr Board Member, CEO - MSSC 0.5 53.5 X 0 464000 31001 JOSEPH GAGE JR JD Board Member (Beg 03/20); BSMH Chief HR Officer 0.5 53.5 X 0 1252571 266776 Mary Thornley EDD Board Member 0.5 3.5 X 0 0 0 Roberta Pinckney Board Member 0.5 3.5 X 0 0 0 Wael Haidar MD Board Member (Beg 01/20), BSMH Chief Clinical Officer 0.5 53.5 X 0 1492186 521231 Wills C Geils MD Board Member 0.5 3.5 X 0 12565 0 Bret D Johnson CFO & SVP / Treasurer (End 05/20) 43.0 7.0 X 710578 0 26784 Christopher Glenn Interim CFO/Treasurer (Beg 06/20) 43.0 7.0 X 252908 0 9801 Gregory Edwards VP & General Counsel, Secretary 50.0 0.0 X 649809 0 64775 JAMES BERG Interim CEO (Beg 01/20 - End 12/20) 43.0 7.0 X 576206 0 0 Jeffrey DiLisi MD CEO (Beg 12/20) 43.0 7.0 X 90385 0 0 Lori Roberts Assist. Secretary, Director, Legal Services 50.0 0 X 237158 0 19952 Mark Dickson VP Mission 50.0 0 X 330723 0 29708 Anthony Jackson SVP and COO (Beg 03/20) 50.0 0.0 X 855077 0 45986 Chris McLain MD SVP & Chief Physician Officer (Beg 05/20) 50.0 0 X 580000 0 45050 Craig Self VP Chief Strategy and Business Development Officer (Beg 01/20) 50.0 0 X 366507 0 47300 Melanie Stith VP Human Resources 50.0 0.0 X 452370 0 40735 Pennie Peralta Chief Nursing Officer 25.0 25.0 X 414967 0 32614 Peter Shelkin Interim CIO 50.0 0 X 0 0 0 Jeanne Ballard Chief Medical Information Officer 50.0 0 X 346774 0 23867 Mary Lou Applebaum Chief Physician Advisor 50.0 0 X 322411 0 32940 Mitchell Siegan MD VP CMO - Acute Care 10.0 40.0 X 575800 0 66324 Stanley Wilson MD VP CMO Quality & Cont Care 30.0 20.0 X 556253 0 49256 Troy Powell VP Ops Continuing Care 10.0 40.0 X 338182 0 46378 Keith Neuman Former Chief Information Officer 0.0 0.0 X 262192 0 0 Lorraine Lutton Former CEO 0.0 0.0 X 1401488 0 7065 9319788 7695266 1662233 110 true true false SJN Data Center LLC 4620 Wesley Ave Cincinnati OH 45212 Maintenance & IT Services 20556088 ANESTHESIA ASSOCIATES OF CHARLESTON PO Box 22206 Charleston SC 29413 Anesthesia Services 16435089 ROPER EMERGENCY PHYSICIANS 639 McCutchen St Charleston SC 29412 ER Physician Services 14984457 DPI Management Company LLC 8946 Interline Ave Baton Rouge LA 70809 Anesthesia Services 7366294 CHARLESTON EMERGENCY SERVICES 2053 Shell Ring Circle Mount Pleasant SC 29466 ER Physician Services 6438490 134 8071878 92500 62951 5200 8227329 Network Fees 900099 107826439 107826439 Operating Rental Income 900002 46923 46923 Senior Center Revenue 531390 225550 225550 JV and Partnership Income 900003 2482028 2482028 Medicare Shared Savings 900099 1795385 1795385 0 0 0 0 112376325 3975054 3975054 410396 112430 297966 0 297966 297966 1564505 82326 1482179 0 1482179 1482179 Daycare Revenue 624410 695235 695235 Cafeteria & Vending 722210 214689 214689 Professional Services 541900 47816 47816 851897 0 0 851897 1809637 128168490 112376325 47816 7517020 6075358 6075358 325093 325093 5879392 4703514 1175878 51191964 24054539 27137425 1482130 1185704 296426 6417763 5134210 1283553 4075351 3260281 815070 39 39 1487491 1487491 378279 378279 56170 56170 534534 534534 15481176 12384941 3096235 0 3440814 2752651 688163 20964809 16771847 4192962 10911816 8729453 2182363 3301725 2641380 660345 50528 40422 10106 230894 184715 46179 5071427 5071427 18941768 15153414 3788354 3344634 2675707 668927 Federal and State Income Tax Expense 300270 240216 60054 Medical Supplies 356581 356581 Recruitment 219207 175366 43841 109885 87908 21977 0 160629098 112004727 48624371 0 58915610 55969015 23654900 153789256 0 0 0 0 13700 -750 10878699 23772527 235330763 107887080 177284140 127443683 147669266 311486686 0 502432901 650653376 0 99171000 56497669 164211757 977346885 1586496550 105656301 102182952 36824629 0 0 0 70040918 7972560 356123147 657849432 568644995 768004944 X 408701890 818491606 408701890 818491606 977346885 1586496550 X -32460608 33745225 130581080 277924019 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 16170 true 40000 false false 56170 false Schedule C, Part II-B, Line 1 Lobbying Activities The total expenses directed for lobbying of the South Carolina General Assembly on any and all legislative, regulatory, or gubernatorial action as it relates to healthcare for 2020 was $40,000. RSFH is a member of the South Carolina Hospital Association (SCHA). The SCHA engages in lobbying efforts on behalf of its membership body, and each year a portion of the dues paid to the SCHA are allocated towards those efforts. For 2020, the amount of membership dues allocated to lobbying was $16,170. 1295054 1295054 9488678 6440099 3048579 3614542 3024051 590491 177339206 98401165 78938041 43593283 21765 43571518 127443683 Investment in RSF ATI 8503114 C Investment in Affiliates 642150262 C 650653376 Due from Affiliates 70603697 Other Receivables 7900943 Right of Use Assets 85707117 164211757 Due to Affiliates 524714414 Other Liabilities 7186250 Right of Use 93050297 Intercompany Notes Payable 32898471 657849432 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under ASC 740. ASC 740 addresses the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. Roper St. Francis Healthcare and its affiliates are members of Bon Secours Mercy Health, Inc., a Maryland nonprofit, nonstock membership corporation (BSMH), and all of the other entities that are controlled directly or indirectly by BSMH are described collectively as the Company. Below is the related statement from the Bon Secours Mercy Health, Inc. consolidated audited financial statements: The Company and most of its subsidiaries (including certain joint venture entities) are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. Their related income is exempt from federal income tax under Section 501(A). Some of the subsidiaries are taxable entities, and some of the income of the tax-exempt entities is subject to taxation as unrelated business taxable income. The Company and its subsidiaries file U.S. federal income tax returns, and they also file in various state and foreign jurisdictions. The Company accounts for uncertain tax positions in accordance with ASC Topic 740, Income Taxes. The Company accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The Company has determined that no significant unrecognized tax benefits or liabilities exist as of December 31, 2020 and 2019. Accounting for uncertainty in income taxes, ASC Topic 740-10 prescribes a comprehensive model for how an organization should measure, recognize, present and disclose in its financial statements uncertain tax positions that an organization has taken or expects to take on a tax return. The Company is subject to routine audits by taxing jurisdictions. There are no current audits in progress. As of December 31, 2020 and 2019, the Company has no uncertain tax positions. The Company's taxable subsidiaries had $199,705 and $205,170 net operating loss carryforwards as of December 31, 2020 and 2019, respectively, which expire in varying periods through 2037 and are available to offset future taxable income. The Company accounts for income taxes under the asset and liability method. Under this method, deferred tax assets and liabilities are recognized for the estimated future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to be in effect during the year in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. Interest and penalties related to income taxes are accounted for as income tax expense. The Company has placed a full valuation allowance on the deferred tax assets as of December 31, 2020 and 2019 as the Company considers it more likely than not that these amounts will not be utilized in future periods. true Roper St Francis Physicians Network 8536 Palmetto Commerce Pkwy Suite 201 Ladson SC 29456 262946628 501(c)(3) 1217391 Mission Support Roper St Francis Hospital - Berkeley Inc 8536 Palmetto Commerce Pkwy Suite 201 Ladson SC 29456 263710229 501(c)(3) 459749 Mission Support Roper St Francis Mt Pleasant Hospital 8536 Palmetto Commerce Pkwy Suite 201 Ladson SC 29456 570360499 501(c)(3) 420310 Mission Support Bon Secours - St Francis Xavier Hospital Inc 8536 Palmetto Commerce Pkwy Suite 201 Ladson SC 29456 571067254 501(c)(3) 1150134 Mission Support Roper Hospital Inc 8536 Palmetto Commerce Pkwy Suite 201 Ladson SC 29456 570828733 501(c)(3) 2456412 Mission Support CHARLESTON METRO CHAMBER OF COMMERCE 4500 Leeds Avenue Charleston SC 29405 570138852 501(c)(6) 40000 Mission Support EAST COOPER COMMUNITY OUTREACH 1145 Six Mile Road Mt Pleasant SC 29466 570939280 501(c)(3) 30000 Mission Support ONE EIGHTY PLACE PO Box 20038 Charleston SC 29413 570789483 501(c)(3) 30000 Mission Support AMERICAN HEART ASSOCIATION PO Box 4002906 Des Moines IA 50340 135613797 501(c)(3) 20000 Mission Support AMERICAN CANCER SOCIETY 5900 Core Road N Charleston SC 29406 580659875 501(c)(3) 15000 Mission Support SC COASTAL CONSERVATION LEAGUE INC 131 Spring St Charleston SC 29403 570887278 501(c)(3) 10800 Mission Support GREEN HEART PROJECT INC 1102 B King Street Charleston SC 29403 460829120 501(c)(3) 10500 Mission Support SHARE OUR SUZY PO Box 1778 Mt Pleasant SC 29465 203767681 501(c)(3) 10000 Mission Support FB FOUNDATION 8310 Rivers Avenue N Charleston SC 29406 203997779 501(c)(3) 10000 Mission Support ARM IN ARM 164 Market St Charleston SC 29401 475121328 501(c)(3) 10000 Mission Support OUR LADY OF MERCY OUTREACH 1684 Brownswood Johns Island SC 29455 570905488 501(c)(3) 10000 Mission Support CLOSING THE GAP IN HEALTH 3951 West Montague Ave N Charleston SC 29418 522450102 501(c)(3) 7000 Mission Support DEE NORTON LOWCOUNTRY CHILDRENS CTR INC 677 Long Point Rd Mt Pleasant SC 29464 570905724 501(c)(3) 5600 Mission Support 18 0 Nursing Scholarships 47 268454 Utility bills 1 110 Employee Relief Fund 58 56529 Schedule I, Part III RSF General Nursing Scholarship Program The purpose of the RSF General Nursing Scholarship Program is to financially support continued education of high performing, exemplary staff nurses and students to meet a specific nursing workforce strategic need (i.e. hard to fill nursing positions or educational goals as determined by RSF senior nursing leaders). All scholarship awards are dependent upon the number of scholarship applications and the available funding from the RSF Foundation and other sources that support RSF nursing scholarships. The award amount is never guaranteed. Awards are paid on a semi-annual basis. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. The sponsorship committee for Roper St. Francis Healthcare meets monthly to discuss charitable giving in the community and the Organization's plans to sponsor worthy community activities that promote healthcare. The Committee is comprised of the CEO of the System, the Hospital and Physicians Network CEOs, the VP of Mission, and the Director of the Foundation. The Committee's goals are as follows: To support the community through charitable givings and sponsorships that are consistent with our Organization's mission and values, to enhance the health of those whom we serve, to meet community needs and exercise care of the resources entrusted to Roper St. Francis Healthcare, and to focus charitable giving and sponsorships on the major public health needs of the community. Roper St. Francis Healthcare provides funding to dozens of non-profit community partners to meet the health needs of our community. Organizations must apply annually for funding by describing which priority health need they are impacting and by providing program details outlining the strategies used to impact the community health need. The Committee, which is comprised of leaders throughout the system who have a stake in community engagement, meets annually to review applications from community partners and awardees are provided a restricted-use letter to specify the intent of funding. Awardees are required to report back on how the funds were used in their subsequent application for funding. X true true X X X X true true false false false false false true false Brian Cuddy MD Chair, Neurosurgeon - RSFPP 0 958594 0 42701 0 23874 0 28050 0 42088 0 1095307 0 0 Susan Datta MD Vice-Chairperson, Internist - RSFPP 0 286750 0 52860 0 9699 0 26443 0 43033 0 418785 0 0 JOSEPH GAGE JR JD Board Member (Beg 03/20); BSMH Chief HR Officer 0 510193 0 307164 0 435214 0 237573 0 29203 0 1519347 0 188061 Wael Haidar MD Board Member (Beg 01/20), BSMH Chief Clinical Officer 0 753924 0 441459 0 296803 0 499315 0 21916 0 2013417 0 50000 Brian White Board Member (End 03/20); Atlantic Group President - BSMH 0 412506 0 375003 0 1180993 0 5700 0 32278 0 2006480 0 303270 Brian YANofchick Board Member (Beg 01/20); Chief Sponsorship Officer Atlantic Grp. - BSMH 0 289533 0 137869 0 148069 0 7200 0 15069 0 597740 0 0 John B Holloway Jr Board Member, CEO - MSSC 0 339000 0 125000 0 0 0 8550 0 22451 0 495001 0 0 Henry West MD Board Member, Surgeon - RSFPP 0 517281 0 37618 0 594 0 28050 0 26779 0 610322 0 0 Lorraine Lutton Former CEO 22079 0 411252 0 968157 0 7065 0 0 0 1408553 0 170203 0 Bret D Johnson CFO & SVP / Treasurer (End 05/20) 188281 0 275288 0 247009 0 8550 0 18234 0 737362 0 92667 0 Gregory Edwards VP & General Counsel, Secretary 392564 0 165383 0 91862 0 27341 0 37434 0 714584 0 90209 0 Mark Dickson VP Mission 208156 0 85667 0 36900 0 6799 0 22909 0 360431 0 33913 0 Lori Roberts Assist. Secretary, Director, Legal Services 200622 0 30153 0 6383 0 7146 0 12806 0 257110 0 0 0 Christopher Glenn Interim CFO/Treasurer (Beg 06/20) 204117 0 34330 0 14461 0 4490 0 5311 0 262709 0 0 0 JAMES BERG Interim CEO (Beg 01/20 - End 12/20) 576206 0 0 0 0 0 0 0 0 0 576206 0 0 0 Keith Neuman Former Chief Information Officer 0 0 0 0 262192 0 0 0 0 0 262192 0 0 0 Melanie Stith VP Human Resources 294667 0 111705 0 45998 0 7821 0 32914 0 493105 0 45163 0 Pennie Peralta Chief Nursing Officer 281473 0 99387 0 34107 0 8550 0 24064 0 447581 0 29944 0 Anthony Jackson SVP and COO (Beg 03/20) 521515 0 167266 0 166296 0 8550 0 37436 0 901063 0 56502 0 Chris McLain MD SVP & Chief Physician Officer (Beg 05/20) 522056 0 20652 0 37292 0 8550 0 36500 0 625050 0 0 0 Craig Self VP Chief Strategy and Business Development Officer (Beg 01/20) 326099 0 38306 0 2102 0 8550 0 38750 0 413807 0 0 0 Jeanne Ballard Chief Medical Information Officer 297473 0 43914 0 5387 0 3384 0 20483 0 370641 0 0 0 Mary Lou Applebaum Chief Physician Advisor 268332 0 48471 0 5608 0 8222 0 24718 0 355351 0 0 0 Troy Powell VP Ops Continuing Care 250310 0 86736 0 1136 0 7443 0 38935 0 384560 0 0 0 Mitchell Siegan MD VP CMO - Acute Care 473193 0 61290 0 41317 0 28050 0 38274 0 642124 0 0 0 Stanley Wilson MD VP CMO Quality & Cont Care 422337 0 60241 0 73675 0 24281 0 24975 0 605509 0 0 0 Schedule J, Part I, Line 4b Terms and conditions of the Bon Secours Mercy Health System SERP The Bon Secours Mercy Health System SERP is a non-qualified deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. The plan provides for annual credits of a specified percentage of an eligible participants base salary paid in a plan year and interest credits. Plan participants vest in plan credits after completing a three year class vesting schedule or earlier for death or total disability or reaching age 60 while employed, or due to involuntary separation of employment other than for cause. Payments during employment are made for required tax withholding and reduce the participants account balance. Distribution of the vested account balance in a lump sum occurs after termination of employment. Amounts includible as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Brian White, $367,344; Brian Yanofchick, $33,400; Joseph Gage, Jr., JD, $168,235; and Wael Haidar, MD, $55,099. Schedule J, Part I, Line 4b Terms and conditions of the Mercy Health SERP The Mercy Health SERP plan is a deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. It provides annual credits of a specified percentage of compensation and annual interest credits. Participants vest 50%, 75%, and 100% in their accounts after 5, 6, and 7 years of service, respectively. Vesting occurs earlier for death or total disability or reaching age 60 while employed, or involuntary termination of employment within 24 months after a change in control of the organization or due to position elimination. Payments during employment are made for required tax withholding. Payment of the vested account balance in a lump sum occurs after termination of employment. Amounts includable as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Joseph Gage, Jr., JD, $0. Schedule J, Part I, Line 4b Terms and conditions of the Bon Secours SERP The filing organization participates in a Bon Secours sponsored executive retirement program that allows for deposits into additional retirement plans available to officers and certain key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits is made into this plan. Individuals that participated or received a distribution include: Wael Haidar, MD, $86,425. Schedule J, Part I, Line 1a Housing allowance or residence for personal use Employer provided temporary housing related to employee relocation was provided for one officer. The entire benefit was treated as taxable compensation. Schedule J, Part I, Line 4a Severance or change-of-control payment Severance Benefits consisting of continuation of base salary and insurance benefits were provided to listed individuals for specified periods. The listed individuals executed releases and waivers of claims in exchange for the severance benefits. Salary continuation amounts provided during the reporting year to listed individuals were as follows: Lorraine Lutton, $797,954; Bret D. Johnson, $153,129; Brian White, $423,080; and Keith Neuman, $262,192. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The Roper St. Francis Healthcare 457(f) Plan's purpose is to offer eligible employees of the employer deferred compensation benefits to supplement Eligible Employees' retirement income. The Plan is intended to be a top-hat plan (i.e. an unfunded deferred compensation plan maintained for certain members of a select group of management or highly compensated employees). INDIVIDUALS THAT PARTICIPATED OR RECEIVED A DISTRIBUTION INCLUDE: Bret D. Johnson, $59,534; Gregory Edwards, $42,679; Mark Dickson, $21,421; Anthony Jackson, $36,502; Lorraine Lutton, $115,203; Pennie Peralta, $20,531; Melanie Stith, $28,680; Troy Powell, $0. Schedule J, Part I, Line 7 Non-fixed payments Goals are developed each year to support the Organization's strategic initiatives for people, quality, financial, growth and service. The Ad Hoc Compensation Committee approves the system goals annually and reports it to the full Board of Directors. Progress on each metric is reported to the Board each month on the corporate scorecard. At year-end, the Ad Hoc Compensation Committee approves the final scorecard number and reports results to the full Board. Annual incentives for the executives are based 60% on the corporate scorecard and 40% on individual performance. Executives maintain an individual scorecard on the leader evaluation manager and discuss results monthly with the President/CEO. The President/CEO approves the individual executive scorecard. Form 990, Part VI, Line 3 Delegation of management duties The role of Interim Chief Information Officer (CIO) for Roper St. Francis Healthcare was delegated to Witt Kieffer, an external management company. Witt Kieffer employed Peter Shelkin to perform these services. For the 2020 year, RSFH paid Witt Kieffer $108,285. Form 990, Part VI, Line 4 Significant changes to organizational documents The name of the corporation was formally changed from "CareAlliance Health Services" to "Roper St. Francis Healthcare". The ownership was changed from Charlotte Mecklenburg Hospital Authority, Bon Secours Mercy Health and Medical Society of South Carolina to HealthSpan Partners, an Ohio non-profit corporation ("HealthSpan"), and Medical Society of South Carolina, a South Carolina not-for-profit corporation ("Medical Society"). Together HealthSpan and Medical Society are referred to as the "Members". The number of Board members was changed from 13 to 12 and allocated appointment of 6 Board members by HealthSpan and 6 by Medical Society. The term limits on Board members was removed along with any language regarding the prior Management Agreement (which was previously non-renewed). A dispute resolution method was included and, if the Board is deadlocked, the President and CEO of Bon Secours Mercy Health will make the deciding vote. The specific functions reserved to the Members was modified slightly. Healthspan was given specific duties to support the operating budget, capital budget and strategic plan. Prior language about the corporation making annual contributions back to the members was removed. Corporate authority for contracting without Board approval was increased from $1M to $5M. The number of required Board meetings was reduced from 6 to 4 annually. The minimum notice period for a meeting was shortened to 3 days. New corporate positions for management of day-to-day operations, a Chief Operating Officer and a Chief Physician officer, were included in the bylaws with the Medical Society appointing the Chief Physician Officer. The Senior Leadership Team, Executive Council and Capital Committee were specifically defined. Finally, a Statement of Common Values replaced the prior Ethical Performance Standards of the organization. Form 990, Part VI, Line 6 Classes of members or stockholders The members of Roper St. Francis Healthcare (RSFH) were The Medical Society of South Carolina (49%), a South Carolina nonprofit corporation, HealthSpan Partners (51%), a Ohio nonprofit corporation. HealthSpan Partners (HSP) is a supporting organization of Bon Secours Mercy Health, Inc. (BSMH). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body RSFH is governed by a 12-member board of directors (the Board of Directors). Subject to certain Nominating Committee approvals, six directors are appointed by each of MSSC and HSP. In the event of a dispute it is the Members intent that the members of RSFH's Board of Directors are appointed to such positions because they have a willingness to serve the needs of Roper as a whole and not the needs of any individual Member. In the event of a stalemate, the Members management teams are to attempt in good faith to resolve the matter within fifteen days. If the management teams are unable to resolve the stalemate, the matter shall be submitted to the President/CEO of BSMH for review and resolution. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The following actions shall require the unanimous affirmative approval of all of the founding members: (a) to amend the Articles of Incorporation or By-laws, including without limitation, any change in the Corporation's purposes; provided, however, that, subject to the procedures and voting requirements with respect to the admission of non-founding members, Schedule 3.1 may be amended with the approval of two (2) of the founding members to reflect the admission of a non-founding member; (b) to dissolve or liquidate the Corporation and to determine the distribution of assets upon dissolution; (c) to merge or consolidate the Corporation or to sell, convey, transfer, lease, or otherwise dispose of all or substantially all of its assets; (d) to appoint the President and Chief Executive Officer of the Corporation in a manner other than that established within the By-laws; (e) to alter or amend the Corporation's ethical performance standards (defined below); or (f) to enter into any material agreement whereby a third party will: (i) become an equity owner in any joint venture with the Corporation or any System participant and will not be legally obligated to support the Corporation's ethical performance standards; or (ii) manage a substantial part of the facilities, assets, or operations of the system and will not be legally obligated to comply with and support the Corporation's ethical performance standards. Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 was prepared by the BSMH Tax Department with assistance and oversight by management and was reviewed by an independent accounting firm. Reviews were then conducted by senior management. Upon review, the Form 990 along with a summary memo is forwarded to the governing body for approval. After approval by the governing body the final version is filed with the Internal Revenue Service. Form 990, Part VI, Line 12c Conflict of interest policy The HR policy requires COI disclosures from "every RSFH senior leader, employed physicians and non-physician practitioners, all directors and all Value Analysis Team members". The governing board policies define covered persons as "directors and to all officers (as defined by the President/CEO) and all persons who serve in a position functionally equivalent to that of a corporate officer". All covered persons shall complete and return to the Secretary an annual statement that each of them: (a) has received a copy of the Conflict of Interest Policy; (b) has read and understands the Policy; (c) agrees to comply with this Policy; (d) understands that the Policy applies to all committees; and (e) understands that the Organization is a charitable organization and must continuously engage primarily in activities which accomplish one or more of its tax-exempt purposes. Form 990, Part VI, Line 15a Process to establish compensation of top management official An independent company, Gallagher, provides research, advice and guidance to the HR Committee and senior leadership to ensure the Organization's compensation programs for executives covered by the "Intermediate Sanctions Legislation" (IRC Section 4958) are aligned with its stated philosophy: Base salaries are targeted at the 50th percentile of the established comparator market; Total cash compensation (base salary plus annual incentive payments) are targeted at the 75th percentile of the established comparator market; Total direct compensation (total cash compensation plus long term incentive payments) will not exceed the 90th percentile of the established comparator market; Benefits are targeted at market median; and In aggregate, base salary, total cash compensation, total direct compensation and benefits comprise total remuneration for executives. The HR Committee ensures that executive total compensation is reflective of the Organization's stated compensation philosophy. The committee, in this process, authorizes and supports an annual three step process utilizing Gallagher's resources: 1) Salary levels, annual bonus targets/payments and long term incentive grants are compared rigorously each year with market data based on comparable positions and organizations. A. Comparable organizations are typically not-for-profit healthcare systems with similar operating revenues. B. Historically, performance incentive payouts generally track with a normal bonus payout distribution. Incentive goals are primarily based on formally defined quantitative goals approved by the HR Committee of the RSFH Board of Directors. 2) All recommended pay decisions are tested against these data and the organization's stated compensation philosophy. 3) A formal opinion letter is prepared by Gallagher, representing that senior executives are compensated within the reasonableness standards mandated by the IRS. This letter provides a "safe harbor" for the organization's senior leadership relative to the reasonableness of total executive compensation consistent with IRC Section 4958. Form 990, Part VI, Line 15b Process to establish compensation of other employees See explanation for 15A. Form 990, Part VI, Line 19 Required documents available to the public The RSFH governing documents, conflict of interest policy and financial statements are available to the public upon request. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Income - Total Revenue: 851897, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 851897; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Capital Contributions - XXX-XX-XXXX; Equity Transfers - 62653217; Adjustment to Investment in Affiliates - -74983772; Other Changes in Fund Balance - 487849; Net Pension and Benefit Allocation - 5564064; Gain on Extinguishment of Bonds - 24697211; Roper St Francis Health Alliance 8536 Palmetto Commerce Pkwy Ste 201 Ladson SC 29456 472412912 ACO SC 1795385 10129955 Roper St Francis Healthcare Bon Secours Mercy Health Inc 1701 Mercy Health Place CINCINNATI OH 45237 521301088 HEALTHCARE SYSTEM PARENT MD 501(c)(3) 3 NA false Bon Secours Baltimore Community Works Inc 26 North Fulton Avenue Baltimore MD 21223 521732800 Grant Making Foundation MD 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false Bon Secours Ireland DAC Local System Parent Org. 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